Ubumuga bwo kutamenya, cyane cyane ubumuga bwo kutamenya bwamaraso, ni impungenge zikomeye zireba abantu bafite ibyago byubwonko bwubwonko nka hypertension, diabete, na hyperlipidemiya. Yerekana nk'urwego rwo kugabanuka kw'ubwenge, guhera ku bumuga bworoheje bwo kumenya no guta umutwe, ahanini biterwa n'indwara zifata ubwonko, harimo n'indwara zigaragara nk'ubwonko ndetse n'udusobanutse nk'ibisebe byera ndetse n'indwara idakira y'ubwonko idakira. Kugira ngo ukemure neza iyi ndwara, gutabara hakiri kare no kuvura ni ngombwa.
Gusobanukirwa Ubumuga bwo Kumenya
Ubumuga bwo kutamenya bwamaraso bushobora gushyirwa mubice bibiri byingenzi:
1. Non-Dementia Vascular Cognitive Ubumuga
Ubusanzwe abarwayi bagaragaza ibintu bishobora gutera indwara zubwonko bwubwonko kandi bakagaragaza deficite yoroheje yubwenge idahuye nibipimo byo guta umutwe. Kugabanuka kwubwenge bishobora kugaragara gitunguranye cyangwa buhoro buhoro, bikunze kugaragara nkigabanuka ryibuke, ibitekerezo bidafatika, no guca imanza, biherekejwe nimpinduka zumuntu. Nyamara, ubushobozi bwa buri munsi mubuzima burakomeza kuba bwiza.
2. Indwara yo guta umutwe
Ahanini bibaho nyuma yimyaka 60, ubu bwoko bwo guta umutwe bubanzirizwa namateka yubwonko kandi burangwa no kwangirika kwiterambere mumikorere yubwenge bujuje ibisabwa byo guta umutwe. Abarwayi barashobora guhura nubumuga bukomeye mubikorwa byubuyobozi - harimo kwishyiriraho intego, gutegura, no gukemura ibibazo - hamwe no kugabanuka kugaragara mububiko bwigihe gito nubushobozi bwo kubara. Guherekeza ibimenyetso by'imitsi bishobora kuba birimo kutitabira ubutumwa, kugabanya itumanaho mu magambo, guhangayika, no guhungabana.
Uburyo rusange bwo kuvura
Iteganyirizwa ry'ubumuga bwo kutamenya kwamaraso riratera imbere cyane hamwe no gusuzuma hakiri kare. Ingamba zo kuvura zirimo ibi bikurikira:
1. Kuvura indwara
Gukemura no kuvura indwara zifata ubwonko nubwonko bwabyo nizo ngaruka zingenzi zo gucunga ubumuga bwubwenge. Ibi bikubiyemo kuvura antiplatelet, kuvura lipide, no gucunga hypertension na diyabete.
2. Gucunga ibimenyetso byubwenge
Inzitizi za Cholinesterase, nka Donepezil, hamwe na NMDA reseptor antagonist, nka Memantine, zishobora kunoza imikorere yubwenge kubarwayi bafite ikibazo cyo guta umutwe. Nyamara, imikorere yazo mu kutamenya guta imitsi imitsi yubwenge ntigisobanutse neza. Ubuvuzi bw'inyongera bushobora kuba bukubiyemo Vitamine E, Vitamine C, Ibikomoka kuri Ginkgo biloba, Piracetam, na Nikergoline.
3. Kuvura ibimenyetso
Ku barwayi bagaragaza ibimenyetso byo kwiheba, guhitamo serotonine reuptake inhibitor (SSRIs) birashobora kuba ingirakamaro. Imiti igabanya ubukana nka Olanzapine na Risperidone, irashobora gutegekwa gucunga igihe gito cya salusiyo, kwibeshya, hamwe n’imivurungano ikabije.
Uruhare rwa Hyperbaric Oxygene yo kuvura
Ubuvuzi bwa Hyperbaric Oxygene (HBO) burimo kwitabwaho nkigikorwa gishya cyo kongera imikorere yubwonko kubantu bafite ubumuga bwo kutamenya.Uburyo bwo kuvura bukubiyemo:
1. Kongera Urwego rwa Oxygene
HBO yongerera umwuka wa ogisijeni n'umuvuduko w'igice, kunoza ikwirakwizwa rya ogisijeni no kongera amaraso mu ngingo z'ubwonko bwanduye, bishobora kugirira akamaro kwibuka no mu mutwe.
2. Kongera imbaraga z'amaraso atukura
Igabanya hematocrit kandi ikongera ingirabuzimafatizo zitukura, bityo bikagabanya ubukana bwamaraso.
3. Kugarura Uturere twa Ischemic
HBO iteza imbere kugarura ischemic penumbra,koroshya ubwonko no kuvuka bushya.
4. Kugabanya ibikomere bya reperfusion
Mu kugabanya imbaraga za okiside no kugabanya umusaruro w’abunzi, HBO ifasha mukurinda ingirangingo zangiza.
5. Kunoza imikorere ya Neurovasculaire
HBOitezimbere ubwonko bwubwonko, byongera endogenous BDNF, kandi byongera imikorere yubwenge.
6. Kunoza Amaraso-Ubwonko Buzuza Inzitizi
Yongera ubwikorezi bwinzitizi yamaraso-ubwonko, ikongera imikorere yibiyobyabwenge nigipimo cyo kuyakira.
Umwanzuro
Ubumuga bwo kutamenya bwamaraso butera ibibazo bikomeye, ariko kwisuzumisha hakiri kare no gutabara bishobora kuganisha kumusubizo mwiza. Hyperbaric Oxygen Therapy itanga inzira itanga icyizere cyo kunoza imikorere yubwenge no kurinda ubwonko gukomeza kugabanuka.
Igihe cyo kohereza: Ukuboza-02-2024